Enhanced Recovery After Surgery (ERAS) is an evidence-based, multidisciplinary approach designed to improve patient outcomes through optimized perioperative care. For more than two decades, ERAS protocols have been successfully implemented in several surgical specialties, significantly enhancing recovery times and reducing complications. However, vascular surgery has lagged behind in adopting these protocols. The misconception that fast-track and minimally invasive approaches are synonymous with endovascular procedures has impeded the broader application of ERAS principles in vascular surgery. Despite recent efforts leading to international guidelines for aortic surgery and peripheral bypasses, comprehensive literature and widespread adoption in vascular surgery remain limited.

There is a notable gap in the literature concerning the application of fast-track protocols in vascular surgery, typically constrained to single-center studies with small patient cohorts. This Research Topic aims to collate existing knowledge on ERAS elements applicable to vascular surgery, drawing insights from other disciplines when relevant, and identifying areas necessitating further research for validation. The objective is to meticulously review each phase of the ERAS pathway—preoperative, intraoperative, and postoperative—focusing on its application to vascular surgery patients. Furthermore, this collection seeks to highlight prospective developments to optimize perioperative management. By establishing a comprehensive understanding of ERAS in vascular surgery, the collection aims to foster improved patient outcomes and promote standardized, evidence-based practices.

The scope of this article collection covers the multidisciplinary perioperative management of patients undergoing vascular surgery, addressing the following themes:

o Preoperative evaluation, with an emphasis on assessing frailty and sarcopenia to determine optimal therapeutic strategies.
o Pharmacological management, including anticoagulant and antiplatelet therapy, and opioid-free/sparing analgesia.
o Perioperative considerations, such as pre- and post-operative nutrition, glycemic control, fluid management, and early mobilization.
o Intraoperative techniques, including avoidance of evisceration and surgical drains, maintenance of normothermia, and multimodal anesthesia and analgesia.

We welcome various types of manuscripts, including original research articles, reviews, clinical studies, and case reports, that address these specific themes and contribute to the comprehensive application of ERAS protocols in vascular surgery.

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Frontiers in Surgery

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